Kealy S Adams, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Portland, OR
NPI 1073704201 · NPPES record last updated Jan 7, 2014
Key facts
- NPI
- 1073704201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL60016408 (WA)
- Practice address
- 4560 SE International Way
Portland, OR 97222-4628 - Phone
- (971) 206-5205
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60016408 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL60016408 | WA | Yes |
Addresses
Primary practice location
4560 SE International Way
Portland, OR 97222-4628
Mailing address
4624 S 214TH PL
Kent, WA 98032-8479
Phone (650) 279-6382
Other providers in Portland, OR
- Kathleen Adams
- Kathleene G Adams
- Kayci Adams
- Kayleen Adams
- Kaylene Adams
- Kellyn Adams
- Kerrie Lynn Adams
- Kimberly Dawn Adams
- Kristen Adams
- Linda Adams
All providers in Portland, OR · Speech-Language Pathologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.